Loading...
Permit FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DF,PARTMENT 11 I Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tieard-or.gov TO: AL4-kis cou A-€0v1 ;S 7-4)C.A.1C7 DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: got) elk OCT 2 6 2020 CITY OF TIGARD COMPANY: BUILDING DIVISION PHONE: j y/ " 3 - O 7 9 Z— BY RE: 3 � e .� 5 441 /¢S G, //iZ > i r c2v d d GYM oa7s� (Site dress) ( t Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. jr Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): p f G 7- E/ — A,4011 REMARKS: it D/Ny Pd-,e,i-t // e a.c.c S:c e. A-,c/it�¢ t- 'f" e L-e ie A-`, A—T'C/2 c7:2.€ C- . FORFICE USE ONLY n� Routed to Permit Technician: Date: 11 5 Zak Initials: �"T``s Fees Due: ` Yes ❑ No Fee Des ri ion: Amount Due: $ bo If z O �e v�;e.I,�.) $ 45- Special Instructions: Reprint Permit(per PE): ❑Yes SNo ❑ Done Applicant Notified: Date: Initials: 1:\Building\Forms\TransmitlalLelter-Revisionns.doc 05/25/2012 FOR OFFICE USE ONLY- SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT g " Transmittal Letter T I CI A It[) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: AI IN Slit-1 }\fraf, DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: iCIN Lpplc NOV 3 2020 COMPANY: CITY OF TIGAS DD BUILDING DI PHONE: L 0O - 01 a �By: _ EMAIL: GOUKSr''cJ Ga!'tOOt<.t C.Ym RE: 1S2 ASh Or. ' 4 2L?(")- 0T2.-ls (Site Address) (Permit Number) COOK. (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 'Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. 3 Engineer's calculations. Other(explain): REMARKS: getiSi i31 1-e_cluer,keci k=s6 Al%`1Scrn FOR OF ICE USE ONLY � �h Routed to Permit Tec ici : Date: 116 2.02c0 Initials: A—Or Fees Due: ❑ Yes No Fee Descrdo Amount Due: G,-- 0/ I ) ._li 0 Special __ Instructions: Reprint Permit (per PE): ❑ Yes - No ❑ Done Applicant Notified: Date: Initials: :1B u i l d i n g\Forms\Tr an sm itt al Letter-Rev i s i on s_073120.d o c Y / RECEIVED CleanWater� Services SEP 2 9 2020 Our cornmihurul is clear. _ r,n CWS File Number Service Provider L`e 'ter 20-001961 This form and the attached conditions will serve as your Service Provider Letter in accordance with Clean Water Services Design and Construction Standards (R&O 19-5, as amended by R&O 19-22). Jurisdiction: City of Tigard Review Type: No Impact Site Address 13235 SW Ash DR SPL Issue Date: September 22, 2020 Location: Tigard, OR 97223 SPL Expiration Date: September 22, 2022 Applicant Information: Owner Information: Name KIM SANDERFORD Name RON COOK ENVIRONMENTAL SCIENCE& Company ASSESSMENT Company Address 4831 NE FREMONT ST SUITE 2B Address 13235 SW ASH DR PORTLAND OR 97213 TIGARD OR 97223 Phone/Fax (503)478-0424 Phone/Fax (541)390-0792 E-mail: kims@esapdx.com E-mail: rcooksr@outlook.com Tax lot ID Development Activity 2S102CA00210 Swimming Pool Pre-Development Site Conditions: Post Development Site Conditions: Sensitive Area Present: On-Site u Off-Site Sensitive Area Present: n On-Site n Off-Site Vegetated Corridor Width: Variable Vegetated Corridor Width: Variable Vegetated Corridor Condition: Marginal/Degraded Enhancement of Remaining � Vegetated Corridor Required: I^i Square Footage to be enhanced: 2,520 Encroachments into Pre-Development Vegetated Corridor: Type and location of Encroachment: Square Footage: No Encroachment Mitigation Requirements: Type/Location Sq. Ft./Ratio/Cost No Mitigation Conditions Attached X Development Figures Attached (1) I^I Planting Plan Attached HGeotech Report Required This Service Provider Letter does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered on your property. Page 1 of 5 CWS File Number 20-001961 In order to comply with Clean Water Services water quality protection requirements the project must comply with the following conditions: 1. No structures, development, construction activities, gardens, lawns, application of chemicals, uncontained areas of hazardous materials as defined by Oregon Department of Environmental Quality, pet wastes, dumping of materials of any kind, or other activities shall be permitted within the sensitive area or Vegetated Corridor which may negatively impact water quality, except those allowed in R&O 19-5, Chapter 3, as amended by R&O 19-22. 2. Prior to any site clearing, grading or construction the Vegetated Corridor and water quality sensitive areas shall be surveyed, staked, and temporarily fenced per approved plan. During construction the Vegetated Corridor shall remain fenced and undisturbed except as allowed by R&O 19-5, Section 3.06.1, as amended by R&O 19-22 and per approved plans. 3. If there is any activity within the sensitive area, the applicant shall gain authorization for the project from the Oregon Department of State Lands (DSL) and US Army Corps of Engineers (USACE). The applicant shall provide Clean Water Services or its designee (appropriate city)with copies of all DSL and USACE project authorization permits. No wetland impacts proposed for this project. 4. An approved Oregon Department of Forestry Notification is required for one or more trees harvested for sale, trade, or barter, on any non-federal lands within the State of Oregon. 5. Prior to any ground disturbing activities, an erosion control permit is required. Appropriate Best Management Practices (BMP's)for Erosion Control, in accordance with Clean Water Services' Erosion Prevention and Sediment Control Planning and Design Manual, shall be used prior to, during, and following earth disturbing activities. 6. Prior to construction, a Stormwater Connection Permit from Clean Water Services or its designee is required pursuant to Ordinance 27, Section 4.B. 7. Activities located within the 100-year floodplain shall comply with R&O 19-5, Section 5.10, as amended by R&O 19-22. 8. Removal of native, woody vegetation shall be limited to the greatest extent practicable. 9. The water quality swale and detention pond shall be planted with Clean Water Services approved native species, and designed to blend into the natural surroundings. 10. Should final development plans differ significantly from those submitted for review by Clean Water Services, the applicant shall provide updated drawings, and if necessary, obtain a revised Service Provider Letter. 11. The Vegetated Corridor width for sensitive areas within the project site shall be a minimum of 50 feet wide, as measured horizontally from the delineated boundary of the sensitive area. 12. For Vegetated Corridors that extend 35 feet from the break in slope, the width of Vegetated Corridors may be reduced to 15 feet wide if a stamped geotechnical report confirms that slope stability can be maintained with the reduced setback from the break in slope. 13. For Vegetated Corridors greater than 50 feet in width,the applicant shall enhance the first 50 feet closest to the sensitive area to meet or exceed good corridor condition as defined in R&O 19-5, Section 3.14.2, Table 3-3, as amended by R&O 19-22. 14. Removal of invasive non-native species by hand is required in all Vegetated Corridors rated ""good."" Replanting is required in any cleared areas larger than 25 square feet using low impact methods. The applicant shall calculate all cleared areas larger than 25 square feet prior to the preparation of the required Vegetated Corridor enhancement/restoration plan. 15. Prior to any site clearing, grading or construction, the applicant shall provide Clean Water Services with a Vegetated Corridor enhancement/restoration plan. Enhancement/restoration of the Vegetated Corridor shall be provided in accordance with R&O 19-5, Appendix A, as amended by R&O 19-22, and shall include planting specifications for all Vegetated Corridor, including any cleared areas larger than 25 square feet in Vegetated Corridor rated —good.— 16. Prior to installation of plant materials, all invasive vegetation within the Vegetated Corridor shall be removed per methods described in Clean Water Services' Integrated Pest Management Page 2 of 5 CWS File Number 20-001961 Plan, 2019. During removal of invasive vegetation care shall be taken to minimize impacts to existing native tree and shrub species. 17. Clean Water Services and/or City shall be notified 72 hours prior to the start and completion of enhancement/restoration activities. Enhancement/restoration activities shall comply with the guidelines provided in Planting Requirements (R&0 19-5, Appendix A, as amended by R&O 19- 22). 18. Maintenance and monitoring requirements shall comply with R&O 19-5, Section 2.12.2, as amended by R&O 19-22. If at any time during the warranty period the landscaping falls below the 80% survival level, the owner shall reinstall all deficient planting at the next appropriate planting opportunity and the two year maintenance period shall begin again from the date of replanting. 19. Performance assurances for the Vegetated Corridor shall comply with R&O 19-5, Section 2.07.2, Table 2-1 and Section 2.11, Table 2-2, as amended by R&O 19-22. 20. Clean Water Services shall require an easement over the Sensitive Area and Vegetated Corridor conveying storm and surface water management to Clean Water Services or the City that would prevent the owner of the Vegetated Corridor from activities and uses inconsistent with the purpose of the corridor and any easements therein. 21. Final construction plans shall include landscape plans. In the details section of the plans, a description of the methods for removal and control of exotic species, location, distribution, condition and size of plantings, existing plants and trees to be preserved, and installation methods for plant materials is required. Plantings shall be tagged for dormant season identification and shall remain on plant material after planting for monitoring purposes. 22. A Maintenance Plan shall be included on final plans including methods, responsible party contact information, and dates (minimum two times per year, by June 1 and September 30). 23. Final construction plans shall clearly depict the location and dimensions of the sensitive area and the Vegetated Corridor(indicating good, marginal, or degraded condition). Sensitive area boundaries shall be marked in the field. 24. Protection of the Vegetated Corridors and associated sensitive areas shall be provided by the installation of permanent fencing and signage between the development and the outer limits of the Vegetated Corridors. Fencing and signage details to be included on final construction plans. This Service Provider Letter is not valid unless CWS-approved site plan is attached. Please call (503) 681-3667 with any questions. Stacy Benjamin Environmental Plan Review Attachments (2) Page 3 of 5 if 0 s.-if ,3 1 c - ...„,„ ' ' 4.#0000 . Pr 7 7 4# / 4 On-site portion of first 50 feet of ---\\446,,,„..,....„. , , ,Vegetated Corridor (2,520 sf) to ' / . „ea --r r be enhanced D• rs ""`. ilk — At .•.. '" _ �P� ii•. -"..�" „ :„ -I -- VEGETATED • s , ' ... \ CORRIDOR # w 01.41' 4 yD/ rt_s 4 W , . e'''' .„ , a Attililly iel .0.t , ' s :a .16'- r y„r 'ell +t Mi n .,,.,4047,,,,,, • loot s y 'Y .' ♦ '�+ fir. ° I 4„,.. ' E ,t X 25%BREAK IN ; :, + SLOPE LINE. '' Propose. ~ .- ti ".•DOI s emu- * . fir "", _ 11,-, mbioros. , . :." il. CWS FILE N0. 20-001961 `' , +^+! .' ` «� 11\ :1* III" Approved .�'- 6'1141111114444:::IS:11 Clean Water Services 3" FO ENVIRONMENTAL REVIEW By Date 9/22/2020 s » ' ': 1.1\0 411: SPL ATTACHMENT 1 OF 2 '��" .. sN 4 ,mow " Alljek. i11b ' Vegetated Corridor: 4,214 SF • Wetland Data Plot Vegetated Corridor Enhancement: Degraded: 3,404 SF 2,520 SF (first 50' of VC area) Marginal: 810 SF ■ VC Data Plot A Trees 21 4, Photo Point Shrubs 127 1"=30' N 0 15 30 Environmental Figure 2 Science& 4831 NE Fremont St., Existing Conditions / Site Plan Assessment, LLC Suite 2B Base Map Source: Portland,OR 97213iiii 13235 SW Ash Drive Metromap, 2013 Phone: 503.478.0424 Modified By: KR www.esapdx.com Tigard, Oregon Date: 1/15 Project No. Rev: 00/00 20037 CWS FILE NO. 20-001 1 Approved 13235 SW Ash Drive, Tigard, Oregon—CWS Site Assessment Clean Water Services f op 110NMENTAL REVIEW after invasive removal. Degraded VC, will be planted to 100 percent dens S $ 2te 9/PL OF shrubs. Total plantings— Marginal Area (810 SF): 4 Trees and 41 Shrubs Total Planting —Degraded Area (1,710 SF): 17 Trees and 86 Shrubs Table 1 provides a list of suggested native plantings for the enhancement areas. Table 2 provides a seed mix for the enhancement area for use as erosion and sediment control. Table 1. Plant List for Enhancement Area Plant Plant Spacing Total Common Name Scientific Name Form/Size 1 (ft on center) Number of plants Enhancement Area 2,520 SF Trees 21 Vine maple Acer circinatum Bare root/18" 10 ft 0.C. ---2 Red alder Alnus rubra Bare root/18" 10 ft 0.C. Douglas fir Pseudotsuga Bare root/18" 10 ft O.C. menziesii Big leaf maple Acer macrophyllum Bare root/18" 10 ft O.C. ---2 Western red cedar _ Thja plicate Bare root/18" 10 ft O.C. ---2 Shrubs 127 Red-osier dogwood Comus sericea Bare root/18" Clustered 2 ft O.C. Twinberry Lonicera Bare root/18" 4-5 ft O.C. involucrata Osoberry Oem/eria Bare root/18" 4-5 ft O.C. -z cerasiformis Pacific ninebark Physocarpus Bare root/18" 4-5 ft O.C. -z capitatus Serviceberry Amelancfolia r Bare root/18" single —2 a/nifolia Cascara Rhamnus Bare root/18" cluster —2 purshiana Baldhip rose Rosa gymnocarpa Bare root/18" 4-5 ft O.C. -2 Tall Oregon grape Mahonia aquifolium Bare root/18" single —2 Snowberry Symphoricarpos Bare root/18" 4-5 ft O.C. -2 albus TOTAL 148 NOTES: 'Substitutes for plant form(e.g.bare root, 1 gal)and species may be used based on availability 2Individual species quantities to be determined during landscaping Table 2. Enhancement Area Seed Mix Common Name Scientific Name Percentage of Seed Mix** Native Wildflower/Grass Mix Spike bentgrass Agrostis exarata 20 California brome Bromus cacinatus 15 California oat grass Danthonia califomica 20 Blue wild rye Elymus glaucus 30 Meadow barley Hordeum brachyantherum 15 TOTAL 100 *Seeding rate of pure live seed(PLS),35 pounds per acre for hydroseed application. **Seed mix application quantity is to be calculated for VC planting area and is subject to availability and measure PLS. Page 4 Environmental Science&Assessment, LLC F3''4"-1 SEp 2 9 2020 27'-0" 5'-0"—y . R I C'TY OF T!VISION f f a $UILDINO D s-o" 7-B° \ 1 B'-0" 16'-0' \y/ 11'-0" 4-0"i 11111111111111111 t R6" (3 PLCS) AREA PERIMETER VOLUME 1 SQ.FT. . FT, U.S.GALLONS 499.34 92-43 19152.23 T 8'-0" I{ 4'-B" NOTES: 1. THESE ARE FINISHED DIMENSIONS READY FOR THE LINER. } 2. DIAISIONS ARE FROM INSIDE POOL PANELS. 3. ROPEAN}FLOAT ASSEMBLY SHOULD BE INSTALLED IN ACCORDANCE WITH CURRENT -a—4'-0" -I 6'-0" 14'-0" '- 8'-0" ANSI/ASPSICC REGULATIONS 4. HYDRA LINER TRACK FOR STEPS IS INSTALLED WITH THE BARB FACING THE RISER WALL ON THE STEP. EXCAVATION NOTES: 5. ROJC-H EXCAVATION SHOULD BE 2"DEEPER IN EACH INSTANCE 6. SOL TO HAVE MINIMUM BEARING CAPACITY OF ISOO POE. 7, LOCATE TOP OF'OOL AT LEAST 6"ABOVE THE SURROUNDING LAND ELEVATION. 8. SEE'OVER DIG DETAIL'FOR EXCAVATION AROUND POOL. 9. FILL VOIDS UNDER BASE OF PANELSAND TAMP WELL YLE10f'T' UNLESS OTHERWISE SPECIFIED DESIGNED BY FILL . c:EAncN DRTE Ib 10, BACKFWITHNON'-c7(PANSNEMATERIAL syaumB DIMENSIONS CHALL 4'212013 HYDRA POOLS D)ATE 11. FOLLO`NALL CURRENT ANSI IAPSPIICC GUICEU NES FOR RESIDENTIAL POOLS 191E2.231'ch' TOLERANCES DETAILED BY. 714/2020 DECIMALS: X 3.1 chap 714I2020 IMPORTANT NOTES- 22120 xxt.01 ,-REVISED SY. USTRe/ISED DATE MII.LAYOUT,16'X 32',REC1ANGLE.6"RADIUS,B'DELP,HS390, IRS DOCUMENT LS FOR ILLUSTRATIVEPUP.POSES ONLY. THE DEALER OR CONTRACTOR WHO I ;FAT TROUT. XXXX±.03C5 dial' 7.1412020 1-LIGHT,2-AQUA GENIE,200 SERIES SELLS OR INSTALLS YOUR POOL IS AN INDEPENDENT CONTRACTOR AND IS NOT AN AGENT OF THE 1,1. MATERIAL. < HSIAA: ANGULAR: X±C.S MANUFACTURER,THE CONSTRUCTION METHODS ILLUSTRATED HERE ARE SUGGESTIONS AND ff P, THIRD ANGLE F3GJECiIOK APPLY ONLY TO NORMAL GROUND CONDITIONS.THERE MAY BE ADDITIONAL PRECAUTIONS ri TE%-JNE PART POKER. EaALE 61Y ANDiGRMETH00S OF CONSTRUCTION. PROPER INSTALLATION IS THE RESPONSIBIUTY OF THE —� 0 i6L - DEALERIBULDERCONTRACTOR. 50 00031r,CD 934 5~20F7 A I1.ILL.:ekq' t:1ry ' Y A\ // c yx / J dr y t i ~iJn-site portion or first 5tJ ieet of t, .w ` Vegetated Corridor (2,520 sf) to '« ! * a be enhanced '' • w # 0 it' VEGETATED ' a 'F • 4 coRKi�or * im, "+ t ,, , aoUNDAF r 0)siip t 001."'e- ° ..,t, j .10/06.„,, '' i 1,, N 0000 25% E Ai , 1 if, r t�W.3L.T E SIN ."< ,., ,w e x pa . .i `� w _ —* ." t° ` 333 ✓ •-04 'b.* ,a► 4 tee«'' t, 20-001961 + �^ Approved r �. < . *: +�i Water Ser •: : ;ONMENIr t h i a by__ki" _Date_ 9/22/2020 µ SPLAi ;,., . ;aiENT 1 ,: 2 . , ' .. ...i .4 "y .. a Vegetated Corridor: 4,214 SF • Wetland Data Plot Vegetated Corridor Enhancement: Degraded: 3,404 SF VC Data Plot 2,520 SF (first 50' of VC area) Marginal: t$IIPY JF TIGAHL) Trees 21 Approved 114y Iannin A 1"=30' Date: /Of c7._e Photo Point Shrubs 127 N = 11....." Initials' /I�-C — 0 15 30 K.....�'v�..e Environmental Figure 2 Science& at331NE Fremont St„ Existing Conditions / Site Plan Assessment, LLC Suite 28 Base Map Source: Portland, OR 97213 13235 SW Ash Drive Metromap, 2013 StomSopeval Phone: 503.478.0424 Modified By: KR vrww.esapdx.com Tigard, Oregon Date: 1115 Project No. Rev: 00/00 20037 CWS FILE NO. 20_00196t..._._ Approved Clean Water Services IRONMENTAL REVIEW By ,pate_Q7(3Q2020 �1 SPL ENT__,__r j" OFT 1 il oft?.£/ (1 i N ) . 4(1°' V. 47 CITY OF TIGAHt 51, Approved •y Plannini `i'.e Date: 0 .2.J J1 A ti a� — Initials: ..., dd�a ' 0'4 \\ '\:\///0/4 -P I t", a c. Xr `` w IN tI ti A W M a- ,_.____.*- 41_—, e--,7edr4PP42-4 BA-i 'i Loci,jeR 8 ,t#/k YO / '41(' (Zee b' Branden Taggart From: Branden Taggart Sent: Monday, November 23, 2020 8:17 AM To: 'rcooksr@outlook.com' Subject: Swimming Pool Permit: MST2020-00275 - 13235 SW Ash Dr. Attachments: Invoice.pdf Hello Ronald, Your Building permit for the swimming pool is ready to issue now. The balance due is $931.84, and I have attached an invoice above for you to reference. The permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number (MST2020-00275) in the Record Number field, and click Search. Once paid, please notify us at TigardBuildingPermits@tigard-or.gov, and I will place this permit in our open Permit Center conference room for you to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays. Thank you, Branden Taggart w City of Tigard ,'.. Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent@tigard-or.gov 1 CITY OF TIGARD MASTER PERMIT 01 # a ' COMMUNITY DEVELOPMENT Permit#: MST2020-00275 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/25/2020 T f c;A R D Parcel: 2S 102CA00210 Jurisdiction: Tigard Site address: 13235 SW ASH DR Subdivision: VIEWCREST TERRACE Lot: 8 Project: COOK Project Description: New in ground swimming pool. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 st Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $25,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain 0 Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0 Bckflw Prevntr. 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 0 Other Units: 1 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 1 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 1 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: OTR SF VB R-3 0 Owner: Contractor: COOK,LORI LEA&RONALD SR OWNER Required Items and Reports(Conditions) 13235 SW ASH DR 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 PHONE: PHONE: FAX: Total Fees: $1,226.91 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010`throuugh OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.� 2. . Issued By: t'i7t\��+Q�O�We% Permittee Signature: � acli*�,`0 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. _ This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. r Building Permit Application • el • _ 3 Residential FOR OFFICF. USE UNI.V Received id/ Permit Nn.t City oi'Tigard ® Y., �:>Ay: /0 7 ZUZo _ l��'7`20 -Od275 ,, • 13125 SW Hall Blvd.,Tigard,OR 97223 R EC ^-1 V E Rcvicw I e Phone: 503.718.2439 Fax: 503.598.1.960 te/By: r(/ ., Other Permit. T i i i A R n Inspection Line: 503.639A 175 Date Rea /B lurk Iii See Page 2 fur p d1 Y // / Internet www.tigard-or.gov SEP 2 9 2020 Notified/Method: I /0� � ��9 Supplemental Information ,� TYPE OF WORK BUILDING DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑Ncw construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement gOther.S tO/..04 eAJ9 lam* equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ `✓ 0-1-and 2-family dwelling ❑Commercial/industrial 1-as,�* VU IDAccessory building ❑Multi-family Number of bedrooms: ❑Master builder ElOther Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: vJob site address: 13 1 3 s SAi /I 'c Dfe Ncw dwelling area: square feet City/State/ZIP: -r,lei-le& d/Z € '7 2-2- 3 Garage/carport area: square feet Suitc/bldg./apt.no.: Project name: G+0:44. S,/M,aCi /e„,,L Covered porch area: square feet Cross� street/directions to job site: Deck area: square feet fl�� 14 pe rf S'ii 5 7- Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Y 6/Jaeger- 7r 4 Ac„e, Lot nu.: $ Permit fees*ore based on the value of the work performed. Tax map/parcel no.: � Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. $ `vcT/�L.(i 'yA uND A (� � c //M/�t/IV� Valuation: �OF+ Existing building area: square feet New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: ,P `I-- �Ad G�x 44 Type of construction: Address: if 2 J 3 S e� h pee. Occupancy groups: City/State/ZIP: 7^"? e,,Areci1 d i2 9 7 2-2, 3 Existing: Phone:(�f,Li J 3? -07 9. 'L Fax:( ) New: p APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* inane refer to fee scheda Business name: le)Structural plan review fee(or deposit): 2 0 7 Contact name: ie iffr, Gdeli., 3 Z 3 s Ss w, I D PLS plan review fee(if applicable): Address: G ez City/State/ZIP: 7 b 4 A A q �j Total fees due upon application: ,- 17/���f� �� ! ! Z L 3 Amount received: Phone:( 5 jV ...3 le `-' o g 2 Fax::( ) 9R &/Q4t T L+ P- r GG M PHOTOVOLTAIC SOI AR PANEL SYSTEM FEES* E-mail: rJd Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: fie `o ®4,N by �®ter C_^ Submit two(2)sets of ' lan with connection details "vrY "f� and fire department access,along with the 2010 Oregon Address: Solar Installation Specialt,'Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB tic.: Total fee due upon application: $201.60 Authorized signatur This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. Date: / *Fee methodology set by Tri-County Building Industry Print name' Afa"'a.V cc„...e. y/Za/? Service Board. I:\Building\Petmits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR (II:FICF. ISE ONLY City of Tigard -,■ ' ;� • • 13 L25 SW Hall Blvd.,Tigard,OR 97223 RECEIV : • Phone: 503.718.2439 Fax: 503.598.1960 �' Other Permit: 1 I tJ At((1 Inspection Line: 503.639.4175 Date Ready/By: Jurif, iii See Page 2 for Internet: www.tigard-or.gov (('+ OCT 2 -6^ 2020 yN�otified/Method: Supplemental Information TYPE OF W It'I O t IGARV COMMERCIAL FEE* scHEDVLE-USE CEEcI{LISTI'I BUILQI d DIVISION Mechanical permit fees*are based on the value of the work ❑New construction 74 Addition/alteration/rep at performed Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family ❑Master builder jg Other:/?l(�G�yJ!() Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION /' Beating/coaling: Air conditioning 46.75 Job site address: i 3 1-3 5- s (41 4skt t, Furnace 100,000 BTU(duets/vents) 46.75 City/State/ZIP: -r 1 /4,e 9 Ole Cr? z a 79 Furnace 100,000+BTU(ductx/vents) 54.91 ✓ Heat pump 61.06 Suite/bldg./apt.no.: Project name: r_S/ y(� dasdz., Ductwork 23.32 Cross street/directions to job site: rr Hydronic hot water system 23.32 Residential boiler('radiator or �� hydrouic) 23.32 i r Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 i"�! de. k 0 a Flue/vent for any of above 23.32 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: 2 S'1 D . C. Q OD Q� Water heater 23.32 I DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas , N4Ti4L,... /OV �u .41 t) 12 i/- fireplace 23.32 9Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/in-sett 23.32 Chinn /liner/ilue/v_en�t t� 23.32 s, PROPERTY OWNER ❑ TENANT Other. IAP�/v 23.32 2'� !L Environmental exhaust and ventilation: Name: 11 etL1 AI j f, Ccrcle. Range hood/other kitchen equipment 33.39 Address: is 2- 3 5_ S w ,/�+ 11 `//�`e Clothes dryer exhaust 33.39 P: / , j C. Single duct exhaust(bathrooms, City/State/ZIP: 'Ty, d C'/- , 7 2 2. toiler compartments,utility rooms) 23.32 Phone:(4 t() 39 C _ 079 , Fax:( ) Attic/crawlspace fans 23.32 APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name: $14.15 for first four;$4.03 fur each additional Contact name: Re. 11-74.0 C, ocie Furnace,etc. Gas heat pump Address: (3 Z 75_ 5 /1-5 4 Di? Wall/suspended/unit heater City/State/ZIP: 1"-1 1 i5 14.I41 Qi- 97 Z 2, 3 Water heater Phone:Lc...0 3 qa -ci 7y 2 Fax::( ) Fireplace � Range E-mail: ie cok 5/Z 1- at1�( l dk. Gez#4,-I Barbecue CONTRACTOR Clothes dryer(gas) h u (� Business name: Other:S w/�of/dJl_ 400E J�.V e12.' I ., MECHANICAL PER FEES* Address: Subtotal s-7,11 Cit /State/ZIP: Minimum permit tee($90.00) 5' y Plan review(25%ol'permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCH lie,: TOTAL PERMIT FEE This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building lndusny Service Board Print name: ,, /1• cedk Date:het 2.l/L,0 ze Lim I:ViuildintV'utuiraVdEC 'sreitApP_U40 113.dec 440.1617 I I 1/02/COM/WF.B) £1'ectrical Permit Application City of Tigard ""y`d ate/By: Permit u:/4. 7 ,- 7 S' ,, • 13125 SW Hall Blvd.,Tigard,OR 97 �.r �,� Plan Rcvicw Related Pamil1k `� • ' Phone: 503.718.2439 Fax: 503.598.1nL+' DatcBy: Inspection Line: 503.639.4175 ��••r g 2020 Ready Date/Ry: kris: ® See Page 2 for TIGAED, Internet: www.tigard-or.gov Ol,1 ekotilied/Method: Supplemental Information ll il TYPE OF WOR ery'�����`n`��F�y,� , `.,,,C`'a PLAN REVIEW ❑New construction Addition/alter Ya 1 0 ' I.)AN 1,J Please check all that apply(submit 2 sets of plans w/items checked): V t• - /l_ 0 Service or feeder 400 amps or more 0 Building over three storms ❑Demolition IN Other:iii 0 N C� V where the available fault current 0 Marinas and boatyards. CATEGORY OF CO` TRUCTION exceeds 10,001)amps at 150 volts or 0 Floating buildings. ❑1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,060 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family 0 Master builder A Other:/ ems`, ❑Fire pump. ['Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived �3 �3$ S Gt, f J the ❑100HP o of new motor load of system, Job#: Job site address: 1 twlm or more. ❑••A^ "e" '1-2"`la", - A ❑Six or more residential units. occupancy. Cit /State/ZIP: sl•+j 14_c�, y ❑ ❑Ecoreational vehicle parks. y � fff^^"""` �a v 3 Hralthaare facilities. Suite/bldg./apt Project /�"4: name: Cock GQ / ' ❑Hazardous locations. CI Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description 1 Otv. 1 Each I Total I a New residential single-or multi-family dwelling unit. Subdivision: Lott#: Includes attached garage. 1,000 se.it,or less 168,54 4 Tax map/parcel#: 02 bata2c A, 0,0 L j© Ea.uld'I 500 sq.it.or portion 33.92 t DESCRWINDON OF WORK Limited ener.o,residential r f (with above sq.ft. 175.00 2 -t cay.IQ/m /ti r f to t_- �iv Limited energy,multi-family 75.00 2 �V I a,e ` /13. V ,' rJam residential(with above sq.ft.) — r . Renewable Energy ❑ See Page 2 A.PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: Q Q�A-L. lam, CQ�� 200 amps or less 100.70 2 Address: I' Y 201 amps to 400 amps 133.56 I,a2.3 S 1v �'S� rD fZ 401 amps to 600 amps 200.34 2 City/State/ZIP: 7-79 i i, 6 2 9 '7 2 Z.3 601 amps to 1,000 amps 301.04 2 Phone:(5/4p 3•c,f —•f 7 y 7 Fax:( ) Over 1,000 amps or volts 552.26 2 / Temporary services or feeders installation,alteration,and/or Email: n C ,wC4 4 g ,� . Ou T.�y ocQ,4 relocation Owner installation:` This installation isbeing made on property that I own which is not 200 amps or less 59.36 I intended for sale,lease,ren orIchange, recording to ORS 447,449,670,and 701. 201 amps to 400 amps I25.08 2 Owner signature: Date: 401 amps to 599 amps 68.54 2 � N Branch circuits-new,alteration,or extension,per panel �+ LICA 0 CONTACT PE O A.Fee for branch circuits with Business name: above service or feeder fee, 7.42 2 each branch circuit Contact name: Rd,J /! B.Fee for branch circuits without service or feeder fee,first Sb.18 2 vir Address: branch circuit 0 City/State/ZIP: Each add'I brunch circuit 7.42 2 /3't ��II Miscellaneous(service or feeder not included) Phone:(4r `e,—, )?cy Z Fnx::( ) Fact manufactured nr modular 67.84 2 ll// dwelling,service and/or feeder Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: lv w ive,/7 Sign or outline lighting 67.84 2 ` Signal circuits)or limited-energy El See Page 2 2 Address: panel,alteration,or extentsiun. City/State/ZIP: Each additional Inspection over allowable in any of the above Additional inspection(1 hr mitt) 66.25/hr Phone:I ) Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 Malin) 78,18/hr Inspections for which no fee is 90.00/hr CCB Lie.: Electrical Lie.: Suprv.Lie.: specifically listed(Ain:null) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Date: 0 Plan Review Required(25%of permit fee): Slate surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: f'� • This permit application expires if a permit is not obtained within 180 /�Print name: J ) Date: ,©/2,1/� days after it has been accepted as empiric. i w "-A,�.i/ ° Number of inspections allowed per permit. I:1RuildingWermitsIPLC_PermltApp ILR RRf.doc Rev06117/2015 4404615T(I I/U5/COM/W!iH • Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE nestaiptioa Qty. Each I Teed Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or teas 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: E 'Burglar Alarm 25.01 to50kva 301.04 2 50.01 to 100 kva 552.26 2 Garage Door Opener*g p >IUU kva(fee ivaccordance 552.26 2 with OAR 918-309-0040) ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each addi aural kva over 25 7,42 3 ❑ Vacuum Systems* >!UU kva—no additional charge 0.0 3 � -/(�� ` ��J�a Each ad at an h ul linspection(Ihrin over allowable in en of the above: l e • Each additional inspection is 66.25/hr charged it an hourly c hr min) 6 Inspections for which no the.is 90.00/hr specifically listed EA.hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT PEES Fee for each commercials stem: $75.00 Subtotal(Enter on Page 1): y + Num6cr of ingpcMione allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls [ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC n Instrumentation ❑ Intercom and Paging Systems Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: _ *No licenses arc required. Licenses arc required for all other installations Llfluikiing1Permits\ELC_PermitApp_P.LR_ItR:duc Rev U6117/2U15 City of Tigard 'PI11 COMMUNITY DEVELOPMENT DEPARTMENT :, ■ T I G A R D Building Permit Review — Residential ti Building Permit #: M67202O -D027c. Site Address: 13235 SW Ash Dr Project Name: Cook Swimming Pool Lot #: Planning Review Proposal: New in-ground swimming pool ❑. Verify address/suite #active in Accela. El In River Terrace: ❑r No ❑ Yes, River Terrace Review Addendum Site Plan Elements: erosion Control Q: copies of site plan on 8-1/2"x 11"or 11 x 17"paper ...Retained trees with drip line and tree protection measures 12I rawn to scale(standard architect or engineer scale) NELFootprint of new structure(including decks) and FFE 13 orth arrow ,Jtility locations&easements(required for new and additions) Mite address,project or subdivision name and lot number sidewalk/driveway approach 0 pplicant information (name and phone number) cation of wells/septic systems Q c dimensions and building setback dimensions r Street tree size,type and location 1�•. are footage of buildings to be demolished ,Street names ' •.ting structures on site °Torner elevations(2'contours if more than 4'differential 1��. area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 'es ° o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es ° o ❑o Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑r Yes,applicant was notified El No IIIIMAFI ❑ No Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs I Required: ❑Yes,applicant was notified No Received: El Yes ❑° No SDC Exemption for ADU applied for: LJ Yes El No Received: El Yes El No Public Facilities Improvement (PH) Permit: Required: ❑Yes,applicant was notified ❑° No Applied For: ❑Yes El No,stop intake Land Use Case#: 0 Zoning: R-4.5 Required Setbacks: Front: N/A Rear: 5 Side: 5 Street Side: N/A Garage: N/A 1. :uilding Height: Max. Height: Actual Heig • ❑ Landsc.:- rea: % ❑ Lot Coverage Ma • Entrance I Set -.- no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less Windows I Minimum 12' . ; :rea of all street-facing facad-. Garage I Garage door is behin. _- t street-fa .•:wall N ❑ Yes CINo,one of the following is met: Door extends no more . ' om wall and there is a covered porch extending beyond garage. _ Door extends n. : ore than 5' from : .nd there is a 12 sq ft.window above garage on 2'd floor. ❑ Gara•e door . i is 12'or less ❑ 50%or -- of facade 60%or less and includes 7 of following: _I .vered porch Recessed entrance El _Wall o 1'Roof eave Roof offset Fire shingles Lap Siding ❑ Roof itch ❑ Gab -, •:. or gambrel roof Dormer II Accent siding Window trim U Window recess I Win.. .rojection ❑ Balcony d Visual Clearance ❑ Urban Fores 'Plan 111 - sitive Lands: El Yes U No Type: Vegetated corridor and steep slopes 10 Conditions met prior to issuance of building permit Notes: — L— El Approved By Planning: • Date: 10/5/20 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved I:1Building\Forms\BldgPerm itRvw_RE S_122419.docx Building Permit Submittal Original Submittal Date: 09292o2° Site Plans: # a Building Plans: # -3 Building Permit#: E'Enter building ,ermit#above.Workflow Routing: Planning ky"Engineering lg.-Permit Coordinator wilding Workflow Sign-off: ®'Sign-off for Planning(include notes from planning review) Route Application Documents: Q'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and -7,original plan review routing form. [ Building: original permit application, site plans,building plans,engineer and beam calculations and details,if applicable, etc. Notes: di By Permit Technician: //j/71 / Date: AW/2D20 Engineering Re view g Slope at building pad: 6 l Conditions "Met"prior to issuance of building permit 71/Gt. Et-Easements (encroachments) per engineering conditions of approval and plat il./10. L"I Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ����N"o Assess Water Quantity Fee in-lieu: ❑ Yes Ly'ivo LIDA Facility on lot: ❑ Yes la No Final Plat Recorded:fl/C— ❑ NOT Approved by Engineering: Date: Notes: Er Approved by Engineering: 1~14-& Date: /103/'i2) Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Permit Coordinator Review conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: ❑ Received Does not a ly SDC Fees Entered: Wash Co Trans Dev Tax: Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A LIDA ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: Ar L — Date: ID( 3I20 1:1B uilding1Forms\BldgPertnitRvw_RES_122419.docx